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General NPI Number Information
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NPI Number | 1851291678
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Entity Type | Organization
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Legal Business Name | FOUNDRY HEALTH & LONGEVITY PC
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Dates
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Enumeration Date | 11/06/2026
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Last Update Date | 11/06/2026
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Provider Practice Location Address
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Address Line | 3324 DORCHESTER CT
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City | LYNCHBURG
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State | VA
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Zip | 24503-3100
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Country | US
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Telephone | 434-363-6097
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Fax |
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Provider Business Mailing Address
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Address Line | 3324 DORCHESTER CT
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City | LYNCHBURG
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State | VA
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Zip | 24503-3100
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Country | US
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Telephone | 434-363-6097
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Fax |
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Authorized Official
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Title or Position | SHAREHOLDER / FOUNDING MEMBER
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Name | MR. KEVIN DAVID ARP
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Credential | PA-C
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Telephone | 434-363-6097
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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